首页|GLIM标准下老年重症脑卒中患者营养不良现状及影响因素分析

GLIM标准下老年重症脑卒中患者营养不良现状及影响因素分析

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目的 通过使用全球领导人营养不良倡议(GLIM)诊断标准来调查老年重症脑卒中患者的营养状况及其影响因素.方法 选取2023年3月至10月于合肥市某三级甲等医院就诊且符合标准的112例老年重症脑卒中患者为研究对象.采用GLIM标准对患者的营养状况进行评价,收集患者的一般资料、血常规及生化指标,进行Logistic回归分析确定其影响因素.结果 112例老年重症脑卒中患者营养不良的发生率为42.86%(48/112),其中重度营养不良的发生率达9.82%(11/112).Logistic回归分析显示,年龄(OR=0.884)、体质量指数(BMI)(OR=1.921)、糖尿病病史(OR=0.238)、血清白蛋白(OR=2.603)和血红蛋白(OR=1.400)为老年重症脑卒中患者营养不良的独立影响因素(P<0.05).结论 老年重症脑卒中患者营养不良发生率较高,提示临床医务人员需加强对患者的营养筛查与评估,并依据危险因素制定干预方案,以改善患者营养状况与预后.
Analysis of the status and influencing factors of malnutrition in elderly patients with severe stroke based on the GLIM criteria
Objective To investigate the nutritional status and its influencing factors in elderly patients with severe stroke using the Global Leadership Initiative on Malnutrition(GLIM)diagnostic criteria.Methods A total of 112 elderly patients with severe stroke who met the criteria and were admitted to a grade A tertiary hospital in Hefei from March to October 2023 were selected as study subjects.The nutritional status of the pa-tients was evaluated using the GLIM criteria,and general information,blood routine,and biochemical indica-tors were collected,and Logistic regression analysis was performed to identify the influencing factors.Results The incidence of malnutrition among the 112 elderly patients with severe stroke was 42.86%(48/112),with a severe malnutrition rate of 9.82%(11/112).Logistic regression analysis revealed that age(OR=0.884),body mass index(BMI)(OR=1.921),history of diabetes(OR=0.238),serum albumin(OR=2.603),and hemoglobin(OR=1.400)were independent influencing factors for malnutrition in elderly patients with severe stroke(P<0.05).Conclusion The incidence of malnutrition is high among elderly patients with se-vere stroke,suggesting that clinical healthcare professionals should strengthen nutritional screening and assess-ment of these patients and develop intervention programs based on risk factors to improve their nutritional sta-tus and prognosis.

strokeelderlymalnutritionGlobal Leadership Initiative on Malnutrition

张莹、潘爱红、王雨晴、吴梦兰

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皖南医学院研究生学院,安徽 芜湖 231002

安徽医科大学第三附属医院,安徽 合肥 230061

卒中 老年人 营养不良 全球领导人营养不良倡议

2024

右江民族医学院学报
右江民族医学院

右江民族医学院学报

影响因子:0.708
ISSN:1001-5817
年,卷(期):2024.46(6)